Fundamentals in Nursing II (NURB 240) Exam
3 Study Guide DRAFT Latest Questions and
Correct Detailed Answers Already Graded A+
Infection usually occurs 2-11 days after injury. Wounds may become infected due
to contamination. Characteristics of wound infection include:
-Purulent drainage
-Pain
-Redness
-Swelling
-Fever
-Increased WBCs - CORRECT ANSWER-What are the characteristics of wound
infection?
,A peripheral line is a type of intravenous (IV) access in which the catheter tip
remains in limb circulation. A central line is a type of IV access in which the
catheter tip is in central circulation. Peripheral lines are only for temporary use as
they tend to wear out faster, but central lines can be for temporary or long-term
use. Central lines are preferred for administering more irritating medications,
higher volumes, or faster rates since veins are too small/fragile for some
medications or infusions. However, central lines have a higher risk for infection
and are more complicated to place. - CORRECT ANSWER-What are the
differences between a peripheral and central line?
-For adults, only the arms and hands can be chosen as a site without an order
-Distal before proximal
-Avoid joints
-Non-dominant are preferred
-Do not place on limbs with a mastectomy, fistula, or DVT - CORRECT
ANSWER-How do you select the best option for IV placement?
-Actual procedure varies between facilities
-Use aseptic technique with good skin cleaning before insertion
-Securement device preferred
-Leave in as long as needed if no complications occur
, -Assess regularly for infiltration, phlebitis, and infection - CORRECT ANSWER-
How is a peripheral IV placed?
1.) Verify patient identity and allergies, perform the 3 medication checks, and
perform hand hygiene.
2.) Assess the IV site for redness, tenderness, edema, etc.
3.) Open the tubing packaging and close the roller clamp. Note that nothing
should ever touch the floor, including the tubing.
4.) Remove the cap from the tubing spike, pull stopper from the IV bag, and insert
the spike into the bag.
5.) Hang the bag on the pole and squeeze the drip chamber until 1/2 full.
6.) Prime the tubing.
7.) Close the roller clamp.
8.) Load the tubing into the pump.
9.) Clean the IV port with alcohol for 15 seconds.
10.) If needed, push 2-3 mLs from saline flush into the IV, and then reclean the
port with alcohol for 15 seconds. (This step is necessary if you have not just
flushed the line from an IV push administration).
11.) Connect the tubing to the IV.
12.) Set the pump rate and volume.
13.) Open the roller clamp.
3 Study Guide DRAFT Latest Questions and
Correct Detailed Answers Already Graded A+
Infection usually occurs 2-11 days after injury. Wounds may become infected due
to contamination. Characteristics of wound infection include:
-Purulent drainage
-Pain
-Redness
-Swelling
-Fever
-Increased WBCs - CORRECT ANSWER-What are the characteristics of wound
infection?
,A peripheral line is a type of intravenous (IV) access in which the catheter tip
remains in limb circulation. A central line is a type of IV access in which the
catheter tip is in central circulation. Peripheral lines are only for temporary use as
they tend to wear out faster, but central lines can be for temporary or long-term
use. Central lines are preferred for administering more irritating medications,
higher volumes, or faster rates since veins are too small/fragile for some
medications or infusions. However, central lines have a higher risk for infection
and are more complicated to place. - CORRECT ANSWER-What are the
differences between a peripheral and central line?
-For adults, only the arms and hands can be chosen as a site without an order
-Distal before proximal
-Avoid joints
-Non-dominant are preferred
-Do not place on limbs with a mastectomy, fistula, or DVT - CORRECT
ANSWER-How do you select the best option for IV placement?
-Actual procedure varies between facilities
-Use aseptic technique with good skin cleaning before insertion
-Securement device preferred
-Leave in as long as needed if no complications occur
, -Assess regularly for infiltration, phlebitis, and infection - CORRECT ANSWER-
How is a peripheral IV placed?
1.) Verify patient identity and allergies, perform the 3 medication checks, and
perform hand hygiene.
2.) Assess the IV site for redness, tenderness, edema, etc.
3.) Open the tubing packaging and close the roller clamp. Note that nothing
should ever touch the floor, including the tubing.
4.) Remove the cap from the tubing spike, pull stopper from the IV bag, and insert
the spike into the bag.
5.) Hang the bag on the pole and squeeze the drip chamber until 1/2 full.
6.) Prime the tubing.
7.) Close the roller clamp.
8.) Load the tubing into the pump.
9.) Clean the IV port with alcohol for 15 seconds.
10.) If needed, push 2-3 mLs from saline flush into the IV, and then reclean the
port with alcohol for 15 seconds. (This step is necessary if you have not just
flushed the line from an IV push administration).
11.) Connect the tubing to the IV.
12.) Set the pump rate and volume.
13.) Open the roller clamp.
